Investigation Study on Older People's Willingness to Use Webcast Exercise Guidance: Based on the UTAUT Model and the Perceived Risk Theory

doi:10.12114/j.issn.1007-9572.2023.0474

Abstract

Abstract:

Background

Previous studies on "internet+health management" for the elderly mainly focused on the willingness to use mobile health applications, with less attention to the webcast exercise guidance.

Objective

Based on the unified theory of acceptance and use of technology (UTAUT) model and the perceived risk theory, we investigated the older people's willingness to use webcast exercise guidance.

Methods

From April to August 2022, a convenience sampling method was used to select older people visiting the Fangzhuang Community Health Service Center in Fengtai District, Beijing, as the subjects, and a self-designed questionnaire was conducted face-to-face. The questionnaire mainly assessed older adults' intention to use webcast exercise guidance.

Results

A total of 390 questionnaires were distributed, and 376 valid questionnaires were collected, with a valid recovery rate of 96.4% (376/390). Of the 376 participants, 161 were men and 215 were women. The fit index of the modified UTAUT model was better than the acceptable standards, indicating a good fit. The structural equation model test results showed that, performance expectancy (β=0.424), effort expectancy (β=0.325), social influence (β=0.596), and facilitating conditions (β=0.204) had a positive impact on the elderly's intention to use webcast exercise guidance, respectively, while perceived risk (β=-0.634) had a negative impact (P<0.001) .

Conclusion

Based on the UTAUT model and the perceived risk theory, performance experience, effort experience, social influence, and facilitating condition all positively affect the elderly's willingness to use webcast exercise guidance, while perceived risk negatively affects the Unified theory of acceptance and use of technology; Perceived risk theoryelderly's willingness to use webcast exercise guidance.

Key words: Motor activity, Aged, Internet-based intervention, Intention to use, Webcast exercise guidance

摘要：

背景

既往关于老年人"互联网+健康管理"的研究多集中于其对移动健康应用的使用意愿，较少涉及老年人网络直播运动指导。

目的

基于整合技术接受（UTAUT）模型与感知风险理论，调查老年人对网络直播运动指导的使用意愿。

方法

2022年4—8月，采用方便抽样法选择在北京市丰台区方庄社区卫生服务中心就诊的老年人作为研究对象，采用自拟调查问卷、面对面方式进行调查。问卷主要内容是老年人对网络直播运动指导的使用意愿。

结果

本研究共发放问卷390份，回收有效问卷376份，有效回收率为96.41%（376/390）。在376名研究对象中，男161人、女215人。改良UTAUT模型拟合指数优于合格标准，拟合度良好。结构方程模型检验结果显示，绩效期望（β=0.424）、努力期望（β=0.325）、社会影响（β=0.596）、促进条件（β=0.204）对老年人网络直播运动指导使用意愿有正向影响，感知风险（β=-0.634）对老年人网络直播运动指导使用意愿有负向影响（P<0.001）。

结论

基于改良UTAUT模型与感知风险理论，绩效期望、努力期望、社会影响、促进条件均正向影响老年人对网络直播运动指导的使用意愿，感知风险负向影响老年人对网络直播运动指导的使用意愿。

关键词: 运动活动, 老年人, 互联网干预, 使用意愿, 网络直播运动指导, 整合技术接受模型, 感知风险理论

CLC Number:

R 87 R 339.34 R 197.32

XIANG Tong,HUANG Yafang,WU Hao. Investigation Study on Older People's Willingness to Use Webcast Exercise Guidance: Based on the UTAUT Model and the Perceived Risk Theory[J]. Chinese General Practice, 2026, 29(13): 1720-1725. DOI: 10.12114/j.issn.1007-9572.2023.0474.
相彤,黄亚芳,吴浩. 老年人对网络直播运动指导使用意愿的调查研究：基于整合技术接受模型与感知风险理论[J]. 中国全科医学, 2026, 29(13): 1720-1725. DOI: 10.12114/j.issn.1007-9572.2023.0474.

Figures/Tables 5

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变量	题项	Cronbach's α系数	聚合效度
变量	题项	Cronbach's α系数	CR	AVE	因子载荷
绩效期望	1	0.92	0.92	0.69	0.79
	2				0.82
	3				0.84
	4				0.86
	5				0.85
努力期望	1	0.86	0.87	0.63	0.75
	2				0.85
	3				0.77
	4				0.89
社会影响	1	0.89	0.89	0.73	0.87
	2				0.80
	3				0.86
促进条件	1	0.81	0.81	0.68	0.87
	2				0.86
感知风险	1	0.90	0.90	0.60	0.77
	2				0.83
	3				0.78
	4				0.82
	5				0.73
	6				0.73
使用意愿	1	0.91	—	—	—

变量	题项	Cronbach's α系数	聚合效度
变量	题项	Cronbach's α系数	CR	AVE	因子载荷
绩效期望	1	0.92	0.92	0.69	0.79
	2				0.82
	3				0.84
	4				0.86
	5				0.85
努力期望	1	0.86	0.87	0.63	0.75
	2				0.85
	3				0.77
	4				0.89
社会影响	1	0.89	0.89	0.73	0.87
	2				0.80
	3				0.86
促进条件	1	0.81	0.81	0.68	0.87
	2				0.86
感知风险	1	0.90	0.90	0.60	0.77
	2				0.83
	3				0.78
	4				0.82
	5				0.73
	6				0.73
使用意愿	1	0.91	—	—	—

项目	χ²值	df	χ²/df	IFI	TLI	CFI	RMSEA	SRMR
本研究	714.48	175	4.08	0.91	0.89	0.91	0.09	0.05
合格标准	—	—	1~5	>0.80	>0.80	>0.80	<0.10	<0.08
理想标准	—	—	1~3	>0.90	>0.90	>0.90	<0.08	—

项目	χ²值	df	χ²/df	IFI	TLI	CFI	RMSEA	SRMR
本研究	714.48	175	4.08	0.91	0.89	0.91	0.09	0.05
合格标准	—	—	1~5	>0.80	>0.80	>0.80	<0.10	<0.08
理想标准	—	—	1~3	>0.90	>0.90	>0.90	<0.08	—

变量→使用意愿	β值（非标准化路径）	β值（标准化路径）	P值（标准化路径）	研究假设结果
绩效期望→使用意愿	0.482	0.424	<0.001	支持
努力期望→使用意愿	0.335	0.325	<0.001	支持
社会影响→使用意愿	0.514	0.596	<0.001	支持
促进条件→使用意愿	0.194	0.204	<0.001	支持
感知风险→使用意愿	-0.631	-0.634	<0.001	支持